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Review: Pitfalls in Using Central Venous Pressure as a Marker of Fluid Responsiveness

Although multiple approaches exist to estimate volume status and response in the critically ill patient, no gold standard has yet been established.
Emergency Medicine. 2016 January;48(1):18-28 | DOI: 10.12788/emed.2016.0004
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The authors review the utility of measuring central venous pressure to estimate volume status and fluid responsiveness in critically ill patients, while underscoring its limitations.


Dr Farcy is the chairman of the department of emergency medicine, medical director of intensivists at Mount Sinai Medical Center, Miami Beach, Florida; and clinical assistant professor, Florida International University Medical School, Miami, Florida. Dr Jain is an assistant professor, director of critical care ultrasound, department of emergency medicine at the SUNY Downstate Medical Center, Kings County Hospital Center, Brooklyn, New York. Dr Dalley is the emergency-medicine residency program director at Mount Sinai Medical Center, Miami Beach, Florida.
Dr Scalea holds the Francis X. Kelly professorship in trauma surgery, is the distinguished professor in trauma, and director, program in trauma at the University of Maryland School of Medicine, Baltimore; he is also the physician in chief, shock trauma center, and system chief for critical care services at the University of Maryland Medical System, Baltimore.